Daniel E Wesche, MD | |
77 W Forest Ave, Suite 201, Flagstaff, AZ 86001-1479 | |
(928) 773-2222 | |
(928) 773-2598 |
Full Name | Daniel E Wesche |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 77 W Forest Ave, Flagstaff, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013985191 | NPI | - | NPPES |
AZ0825790 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
312918 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 20534 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagstaff Medical Center | Flagstaff, AZ | Hospital |
Little Colorado Medical Center | Winslow, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Flagstaff Surgical Associates Pa | 6901880210 | 25 |
Winslow Indian Health Care Center Inc | 4284548991 | 75 |
Winslow Memorial Hospital Inc | 8628988409 | 33 |
Entity Name | Winslow Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477653889 PECOS PAC ID: 8628988409 Enrollment ID: O20040224001246 |
Entity Name | Flagstaff Surgical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114995271 PECOS PAC ID: 6901880210 Enrollment ID: O20040615000876 |
Mailing Address | Practice Location Address |
---|---|
Daniel E Wesche, MD Po Box 10577, Scottsdale, AZ 85271-0577 Ph: (928) 773-2222 | Daniel E Wesche, MD 77 W Forest Ave, Suite 201, Flagstaff, AZ 86001-1479 Ph: (928) 773-2222 |
Adam Keith Boettcher, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001 Phone: 928-774-2300 | |
Nicole Renee Sydow, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001 Phone: 928-773-2150 | |
Kate Preston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 | |
Dr. Douglas John Carlon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2332 Fax: 623-524-8959 | |
Eric Davis Kendle, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2500 Fax: 928-773-2502 | |
Robert A Berger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2598 |